wow-inequalities/02-data/intermediate/wos_sample/81c18431ed7b91a6d804de46f90690a2-sutherns-tammy-and/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background: Despite governments striving for responsive health systems
and the implementation of mechanisms to foster better citizen feedback
and strengthen accountability and stewardship, these mechanisms do not
always function in effective, equitable, or efficient ways. There is
also limited evidence that maps the diverse array of responsiveness
mechanisms coherently across a particular health system, especially in
low-and middle-income country (LMIC) contexts. Methods: This scoping
review presents a cross-sectional `map'' of types of health system
responsiveness mechanisms; the regulatory environment; and evidence
available about these; and assesses what is known about their
functionality in a particular local South African health system; the
Western Cape (WC) province. Multiple forms of indexed and grey
literature were synthesized to provide a contextualized understanding of
current `formal'' responsiveness mechanisms mandated in national and
provincial policies and guidelines (n = 379). Various forms of secondary
analysis were applied across quantitative and qualitative data,
including thematic and time-series analyses. An expert checking process
was conducted, with three local field experts, as a final step to check
the veracity of the analytics and conclusions made. Results: National,
provincial and district policies make provision for health system
responsiveness, including varied mechanisms intended to foster public
feedback. However, while some are shown to be functioning and effective,
there are major barriers faced by all, such as resource and capacity
constraints, and a lack of clarity about roles and responsibilities.
Most mechanisms exist in isolation, failing to feed into an overarching
strategy for improved responsiveness. Conclusion: The lack of synergy
between mechanisms or analysis of varied forms of feedback is a missed
opportunity. Decision-makers are unable to see trends or gaps in the
flow of feedback, check whether all voices are heard or fully understand
whether/how systemic response occurs. Urgent health system work lies in
the research of macro `whole'' systems responsiveness (levels,
development, trends).'
affiliation: 'Sutherns, T (Corresponding Author), Univ Cape Town, Sch Publ Hlth \&
Med, Div Hlth Policy \& Syst, Cape Town, South Africa.
Sutherns, Tammy; Olivier, Jill, Univ Cape Town, Sch Publ Hlth \& Med, Div Hlth Policy
\& Syst, Cape Town, South Africa.'
author: Sutherns, Tammy and Olivier, Jill
author-email: tlsuth@gmail.com
author_list:
- family: Sutherns
given: Tammy
- family: Olivier
given: Jill
da: '2023-09-28'
doi: 10.34172/ijhpm.2021.85
earlyaccessdate: AUG 2021
eissn: 2322-5939
files: []
journal: INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
keywords: 'South Africa; Health System; Responsiveness; Accountability; Feedback
Mechanism'
keywords-plus: 'MIDDLE-INCOME COUNTRIES; CARE; ACCOUNTABILITY; PARTICIPATION; LANGUAGE;
BARRIER; SECTOR'
language: English
month: JAN
number: 1, SI
number-of-cited-references: '69'
orcid-numbers: 'Olivier, Jill/0000-0001-9155-6896
Sutherns, Tammy/0000-0001-6838-0212'
pages: 67-79
papis_id: 30edef70fa8988c47b3f27f20d60f934
ref: Sutherns2022mappingmultiple
researcherid-numbers: 'Olivier, Jill/M-9735-2015
'
tags:
- review
times-cited: '1'
title: 'Mapping the Multiple Health System Responsiveness Mechanisms in One Local
Health System: A Scoping Review of the Western Cape Provincial Health System of
South Africa'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000719990000001
usage-count-last-180-days: '2'
usage-count-since-2013: '6'
volume: '11'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2022'